A Case of Endovascular Stent Graft Repair for Traumatic Thoracic Aortic Aneurysm in a Young Patient with Multiple Injuries
10.4326/jjcvs.33.53
- VernacularTitle:多発外傷を伴った若年者外傷性胸部大動脈りゅうに対するステントグラフト内挿術
- Author:
Toru Mizumoto
;
Iwao Hioki
;
Toshihiko Kinoshita
;
Hideki Fujii
;
Noriyuki Kato
;
Tadanori Hirano
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2004;33(1):53-56
- CountryJapan
- Language:Japanese
-
Abstract:
A 16-year-old boy with multiple injuries suffered in a motorcycle accident was admitted to our hospital. On admission, X-ray films showed left hemothorax and bone fractures of the left humerus, thigh bone, and pelvis. Computed tomography of the chest revealed a pseudoaortic aneurysm approximately 6.0cm in diameter at the proximal portion of the descending aorta. Because of multiple severe associated injuries, we considered that conventional aortic repair in the acute phase would be difficult. We therefore performed an endovascular stent-graft treatment 140 days after injury. The postoperative course was uneventful and the pseudoaneurismal sac has confirmed to decrease. Transluminal placement of endovascular stent-graft is a technically feasible method for treatment of traumatic aortic aneurysm. However, because the long-term results are still unknown, we should follow-up carefully, particularly in young patients.
